Lacey    Swenson    MD
Contract Details
Russell Medical Center
Facility name
Provider ID
P000000001
NPI
1851770424
Tax ID
630385130
Effective Date
1/1/2022
Last Updated
12/19/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_042
Location Details
Address
3368 US 280
Alexander City, AL 35010
United States
Phone
256-215-7479 (Phone)
Billing Details
Address
3368 US 280
Alexander City, AL 35010
Billing Phone
256-215-7479
Specialty Type
Emergency Medicine
Website
Visit Website
Map
Address